National Bowel Cancer Audit - 2011

The National Bowel Cancer Audit (NBCA) has now been in existence for more than twelve years and, in that time, has seen major changes in the management of this common disease. Multi-disciplinary teams exist in all Trusts and their decision making process is reflected in the Audit. The use of cross sectional imaging to help stage the disease, together with better recording of pathological stage, both TNM and Dukes', has led to improved recording of the modified Dukes' stage or an integrated clinico-pathological stage. This surely has to be the goal within all MDTs and, in the future, may well be a necessity as MDTs inform the cancer registration process.